Xinwei (Cambodia) Telecom Co., Ltd.

Purchasing Request Application Form

Date: 18.10.2016 File Code:

Applicant’s Name: Kheme vitoumeta Phone Number: 0388486811

Department: Fiber Customer installation and
Position: Deputy Manager
Maintenance
Subject: Request 2 Pick-up Car

To: Kaing Pengkim

Cc: Liqiang,Zhuyingjie

Attachment:
Purpose:

Pick-up Car : Using for installation, Maintenance and Equipment delivery for remote Customer
and Site check-up and Customer installation Audit on Site for new coming Task.

Applicant’s Signature Head of Department

Date: Date:
Relevant Team/Department Signature:

Date:
CEO: Chairman :

Date: Date:
Xinwei (Cambodia) Telecom Co., Ltd.